| NPI | 1730273616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE RINKEN Executive Director 715-842-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1321) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1321) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-09-19 |